鼻中隔软骨在单侧唇裂继发鼻畸形矫治术中的应用

Application of autogenous septal cartilage in correction of cleft lip nasal deformity

目的探讨自体鼻中隔软骨在单侧唇裂继发鼻畸形矫治术中的应用及效果。方法对31例单侧瑶裂继发鼻畸形患者。将错位畸形的鼻软骨松解复位后，用自体鼻中隔软骨移植，抬高塌陷鼻翼，雨峨鼻尖软骨结构以矫正单侧唇裂鼻继发畸形。结果术后切口均Ⅰ期愈合，供软骨区无严重并发症发生，切口瘢痕隐蔽，经6个月至2年随访，无软骨吸收变形，鼻整形效果稳定。结论单侧唇裂继发鼻畸形．采用自体鼻中隔软骨移植矫治，既解决了软骨的取材来源，又对鼻中隔歪斜进行矫正，同时外鼻畸形矫正效果也良好。

Objective To explore the application and efficacy of autogenous septal cartilage in the correction of cleft lip nasal deformity. Methods A total of 31 patients with secondary nasal de fortuity of cleft lip were involved in this study. After autologous nasal cartilage was released, the dis-location of nasal cartilage was corrected, nasal septum cartilage was used as suhstitute to raise the alar collapse, to reshape the nasal tip cartilage structure and correct the nasal deformity. Results Postoperative incision was primarily healing. For cartilage donor area there was no serious complica- tions, and incision scar was concealed and unobvious; after 6 months to 2 years follow-up, there was no cartilage ahsorption deformation, the tip of the nose was flat, crack side nosewing collapses, and nasal colurnclla skew was totally corrected, with stable rhinoplasty effects. Conclusions For seconda-ry nasal deformity of cleft lip, the use of nasal septum cartilage to repair nose deformity can not only solve the cartilage source, hut also give septaI straightening and at the same time the correction effect of external nasal deformity is good.